2026 ICD-10-CM Diagnosis Code S06.36AATraumatic hemorrhage of cerebrum, unspecified, with loss of consciousness status unknown, initial encounter
S06.36AA is a billable ICD-10-CM diagnosis code for traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness status unknown, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 963 through 965. The code is flagged as an unspecified code, since codes identifying laterality exist in the same family. Coders also document this condition as focal brain contusion. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Traumatic brain injury (TBI); concussion, initial encounter.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for S06.36AA.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Focal brain contusion
- Focal hemorrhagic contusion of cerebrum
- Focal traumatic hemorrhage of cerebellum
- Injury of parenchyma of brain
- Intraparenchymal hemorrhage of brain
- Traumatic hemorrhage of cerebellum
- Traumatic intraparenchymal cerebral hemorrhage
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Intracranial injury (S06). Use the following options for the applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Code History & ChangesHistory
Replacement S06.36AA replaces the following previously assigned code(s):
- S06.369A - Traum hemor cereb, w LOC of unsp duration, init
Questions About S06.36AAOverview
Is S06.36AA a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness status unknown, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in S06.36AA mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness status unknown, such as an emergency visit or first evaluation.
What MS-DRG does S06.36AA group to?
When traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness status unknown, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 963, 964, 965, with relative weights from 0.9405 to 2.7338 depending on complications. Higher weights mean higher Medicare reimbursement.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
